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ArticleQuality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation2025

Trajectories of dyadic quality of life in young to middle-aged stroke couples: a longitudinal study.

Zhiwei Liu, Dandan Xiang, Song Ge, Yongxia Mei, Zhenxiang Zhang, Suyan Chen, Erfeng Guo, Xin Li

Abstract readMulticenter Study
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In one paragraph

Article in Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 1 pooled it
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1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

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3 · Its place in the literature

Who cites it

3 citing papers in PubMed, 1 synthesis or guideline pooled it.

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4 · The record

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5 · Who and what money

Authors and funding

8 authors.

Zhiwei LiuSchool of Nursing and Health, Zhengzhou University, 101 Science Avenue, Zhengzhou, Henan, 450001, People's Republic of China.
Dandan XiangZhengzhou Shuqing Medical College, Zhengzhou, Henan, 450064, People's Republic of China.
Song GeDepartment of Natural Sciences, University of Houston-Downtown, One Main Street, Suite N-725H, Houston, TX, 77002, USA.
Yongxia MeiSchool of Nursing and Health, Zhengzhou University, 101 Science Avenue, Zhengzhou, Henan, 450001, People's Republic of China. myx@zzu.edu.cn.ORCID http://orcid.org/0000-0003-4269-3231
Zhenxiang ZhangSchool of Nursing and Health, Zhengzhou University, 101 Science Avenue, Zhengzhou, Henan, 450001, People's Republic of China.
Suyan ChenSchool of Nursing and Health, Zhengzhou University, 101 Science Avenue, Zhengzhou, Henan, 450001, People's Republic of China.
Erfeng GuoSchool of Nursing and Health, Zhengzhou University, 101 Science Avenue, Zhengzhou, Henan, 450001, People's Republic of China.
Xin LiDepartment of Neurology, the Second Affiliated Hospital of Zhengzhou University, 2 Jingba Road, Zhengzhou, Henan, 450014, People's Republic of China.

Funding

Key Laboratory of Geriatric Long-term Care (Naval Medical University), Ministry of Education LNYBPY-2023-01Key Specialized Research and Development Breakthrough in Henan Province 242102310295National Natural Science Foundation of China 72004205
6 · The paper itself

Abstract

purposeThis study utilized a group-based dual-trajectory model to identify distinct dyadic quality of life (QoL) trajectories among young to middle-aged stroke couples and to analyze the predictive factors influencing these trajectories.

methodsA longitudinal study was conducted with 168 young to middle-aged stroke couples. Assessments at baseline and at 1, 3, and 6 months post-discharge included patients' functional recovery (modified Rankin Scale) and stroke couples' depression, anxiety, stress, benefit finding, social support, couple relationship, and QoL (12-item short-form health scale). Dyadic QoL trajectories were identified using a group-based dual-trajectory model. Stepwise logistic regression was employed to identify the predictors of the trajectory groups.

resultsThree subgroups of dyadic physical QoL trajectories were distinguished: "patients low increase-spouses moderate physical QoL" (15.4%), "patients moderate increase-spouses moderate physical QoL" (74.0%), and "patients moderate increase-spouses high physical QoL" (10.6%). Two subgroups of dyadic mental QoL trajectories were distinguished: "dyadic low increase mental QoL" (15.9%), and "dyadic high increase mental QoL" (84.1%). The trajectory groups were influenced by the patient's sex, functional recovery, depression, and the spouse's mutuality.

conclusionsThe group-based dual-trajectory model facilitates the identification of distinct dyadic QoL trajectories among stroke couples. These findings provide valuable insights for developing targeted interventions aimed at improving their QoL.

Indexed as

CaregiversQuality of LifeSpousesStrokeAdultAnxietyChinaDepressionFemaleHumansInterpersonal RelationsLongitudinal StudiesMaleMiddle AgedSocial SupportStress, PsychologicalDyadic quality of lifeGBTMLongitudinal studySpouseStrokeTrajectoryYoung to middle-aged

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.